Pathways is a comprehensive singing program for use in memory care Comprised of a video series, activity booklets, online training, and audio CDs

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1 Pathways is a comprehensive singing program for use in memory care Comprised of a video series, activity booklets, online training, and audio CDs

music processing may not be lost in AD Singing is an engaging and

2 Resource: Pathways Why? AD - Vulnerable population Literature shows neural pathways in music processing may not be lost in AD Singing is an engaging and holistic musical activity with many health benefits Void of available resource Accessibility for care partners

3 Pathways video series 3 collections Seasons, Journeys, Inspirations themed episodes

4 Expert singing host Briar Boake

5 Episode content Welcome Introduction Breathing warm-up 5 songs song cue image, singing success Breathing warm-down Goodbye minutes long

6 Song order The session is meant to be a journey that is therapeutic in nature having a rise and fall in musical intensity. warm up warm down Song moderate more upbeat upbeat upbeat gentle

7 Subtitles

8 Images - Episode

9 Images Song cue North America - Home on the Range Uplifting Zip-a-dee-doo-dah

10 Images - Background Caribbean United Kingdom Love

11 Pathways Sampler

Activity booklets 325 unique activities (5 per song)

modified based on cultural content, cognitive

on interest, integration, responsiveness

12 Activity booklets 325 unique activities (5 per song) Universal themes from content or implication Can be modified based on cultural content, cognitive ability, gender, age, mobility Can be extended based on interest, integration, responsiveness Co-constructing encourage participant agency, engagement, empowerment

13 Activity approaches Active Passive Concrete Abstract Short Long Singular Integrated Simple Complex

ICON CATEGORY AREAS OF STIMULATION Arts & Crafts Food creativity, gross and fine motor skills through modelling, painting, decorating, making collage etc.

Music-making Games cognition, coordination, listening, moving, creativity through playing instruments, humming, and singing etc. cognition, play, awareness through matching, naming etc.

through watching videos gross motor skills through dance, moving body parts, clapping etc.

14 ICON CATEGORY AREAS OF STIMULATION Arts & Crafts Food creativity, gross and fine motor skills through modelling, painting, decorating, making collage etc. reminiscence, and taste through baking, identifying, mixing, decorating, eating etc. Costumes creativity, play, and cultural awareness through dress-up, make believe, identifying etc. Music-making Games cognition, coordination, listening, moving, creativity through playing instruments, humming, and singing etc. cognition, play, awareness through matching, naming etc. Discussion Videos Movement cognition, reminiscence, ideas, emotions, through asking questions about ideas, experiences, stories, history, travel etc. visual acuity, story, reminiscence etc. through watching videos gross motor skills through dance, moving body parts, clapping etc. Activity categories Reminiscence memories using prompts through tangible objects, pictures, videos, ideas etc. Auditory aural acuity, and cognition through listening, identifying, etc. Nature awareness of natural objects through observation, walking, touching, questioning, visiting etc. Sensory senses through tasting, seeing, smelling, touching or hearing Vocational skills like sorting, packing, stacking, etc.

16 WATCH EUROPE

17 Activity page for Roll Out the Barrel

18 Demo Spring Episode

19 Catalogues Alphabetical Permission By episode By activity category

20 6 topical tutorials Understanding dementia Why singing works in memory care How Pathways Works 1: Video Series How Pathways Works 2: Activity booklets How pathways Works 3: Using Pathways Strengthening relationships through Pathways Animated Short Self-directed Online training

22 Audio CD 1 CD per episode for extended use Instrumental and vocal tracks Integrated into program, use on its own, for extended use

Research and testing to date 2011 2013 2014 2015 Pilot Study -

Advisory Group Activity experts brainstorming Activity Booklet

24 Research and testing to date Pilot Study - design 20 Cdn LTC Positive results 3 Focus Groups GTA experts Advisory Group Activity experts brainstorming Activity Booklet design Pilot study published BETA testing 30+ facilities, programs, homes

25 BETA results Beta test results confirm anticipated outcomes Increased responsiveness and socialization noted

26 What makes Pathways unique? Ready-to-use No musical expertise required Hundreds of hours of repeatable, interactive programming Flexible delivery i.e. individual/group Multi-sensory appeal Closed captioning option 1 episode entirely in French

27 What are some benefits of Pathways? Strengthens relationships Evokes memories Sparks conversations Creates moments Engages people in music-making Reduces isolation and brings people together Improves mood and engagement Makes people happy Helps express emotions

28 Room 217 website Pathways access points Home page online training box Menu Pathways drop-down descriptions, SAMPLE (6 min Europe) Resource store to purchase

29 Some music and dementia research Clair, AA (2002). The effects of music therapy on engagement in family caregiver and care receiver couples with dementia. American Journal of Alzheimer s Disease and Other Dementias, 17 (5) Clements-Cortés, A (2014). Sing-a-long DVD and activity package pilot study with older adults. Journal of Music, Technology & Education, 7 (2), DOI: /jmte _1 Kitwood, T (1997). The experience of dementia. Aging & Mental Health, 1 (1): Kontos, P & Martin, W, (2013). Embodiment and dementia: exploring critical narratives of selfhood, surveillance, and dementia care. Dementia, 12(3) DOI: / Kydd, P (2001). Using music therapy to help a client with Alzheimer s disease adapt to long term care. American Journal of Alzheimer s Disease and Other Dementias. 16 (2) Lewis, V, Bauer, M, Winbolt, M, Chenco, C, & Hanley F (2015). A study of the effectiveness of MP3 players to support family carers of people living with dementia at home. International Psychogeriatrics, 27:3, DOI: /S McDermott, Orrell M, Ridder, H (2014). The importance of music for people with dementia: the perspectives of people with dementia, family carers, staff and music therapists. Aging & Mental Health, 18 (6) DOI: / Osman, S, Tischler, V, Schneider, J (2014). Singing for the Brain : a qualitative study exploring the health and wellbeing benefits of singing for people with dementia and their carers. Dementia, 0 (0) DOI: / Särkämö, T, Laitinen, S, Tervaniemi, M, Numminen, A, Kurki, M, & Rantanen, P (2012). Music, emotion, and dementia: insight from neuroscientific and clinical research. Music and Medicine 4(3) DOI: / Sixsmith, A & Gibson, G (2007). Music and the wellbeing of people with dementia. Ageing & Society, 27, DOI: /S X Volicer, L (2013). Palliative care in dementia. Progress in Palliative Care, 21 (3) DOI: / X12Y

30 Available Fall

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